A diagnostic fluke

A fluke diagnosis.

To cite: Toms C, Morgan SM-A, Samaan MA, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016216169 DESCRIPTION A 42-year-old man presented to the emergency department with a 1-week history of left iliac fossa pain, fever and diarrhoea. He reported no recent travel or unwell contacts. He originated in Sierra Leone but has lived in the UK for 15 years. His l...

A fluke diagnosis.

Liver Fluke Induces Cholangiocarcinoma

Liver fl uke infection caused by Opisthorchis viverrini, O. felineus, and Clonorchis sinensis is a major public health problem in East Asia and Eastern Europe. Currently, more than 600 million people are at risk of infection with these trematodes [1]. O. viverrini is endemic in Southeast Asian countries, including Thailand, Lao People’s Democratic Republic, Vietnam, and Cambodia [2], and C. sin...

Parasite Control: Liver Fluke

Liver fluke or Fasciola hepatica is a common parasite of livestock. A liver fluke infection causes ill health, as well as a reduction in growth rates and reproductive performance in affected livestock. Over recent years it has been acknowledged that the presence of liver fluke in the UK has increased and that the periods of risk for infections have become longer, as well as more difficult to pr...

Pseudoachalasia: a diagnostic challenge

Here, we present a case of a 78-year-old man that underwent gastrointestinal endoscopy because of one- monthhistory of dysphagia to liquids and solid foods with accompanying weight loss. On endoscopy, there was distalesophageal stenosis. Multiple biopsies were obtained. Histologic examination of the samples revealed normaltissue. The stenosis was treated by dilatation and abdomino pelvic comput...